HomeMy WebLinkAboutALL DOCS - 13-00203 - 37 S 2nd E - Beaumont Medical - SignSign Permit Applicqlion
City of Rexburg
Phone:208.i59,3020
Fox:208.359.3022
Fixed Signage
www.rexburg.org
Applicant Information
OWnef Name: BeaumontMedical
Site Address:29 South 2nd East
Mailing Address:228 E. Main Sl.City/State/Zip:Rexburg, lD 83'140
Telephone:(208) 524-3840 Mobile:
Contractor Information
Contractor'sName: YESco
Contractor's Address:
Contractor's Phone:
'1530 W. Sunnyside City/State/Zip:ldaho Falls, lD 83402
522-7558 Mobile: 589-4149
City/StateEip:Blackfoot, lD
20.25 (each sign)Sign Height (from ground):N/A (wall sign)
Two each 4 6" circular, single face, intemally illuminated, wall signs.
Electrical/Specialty Contractor Information (For powered or lighted signs)
Conractor lnformation
COntraCtOt'S Name: Davis Electric
C6ntract6r'S Address: PO Box886
Contractor's Phone: (208)78s-2363 Mobile:
Contractol's Signature:
Sign Information
Sign Area sq. ft:
Sign Description:
Date:
For a Slg!.Pg@E it ls mandatorv that you have the information:
2 Sets of e I eva tio n d ra wi n gs of a sien 8, (plg!-pJggif9pMl
Drawn to scale with dimensions and complete construction materials
Footings if applicable
Engineer stamped if required
FREE STANDING SIGN
UPLOT PIAN TO SCALE SHOWING
EA) BUILDING IoCATION
trB) torslzE
trclNEwsrGN LocATroN
WALT SIGNS
[I A} 5Q. FOOTAGE OF WALI (5'6N ON)
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2.
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4.
tr B) EXTSTTNG SIGNS & AREA
tr c) NEW SIGN & AREA
n D) LocATloN oFstGN oN WALL
tr E) ls slGN LIGHTED? YES (rnust meet stote electrlcal code)ED) DIMENSIoNSTo SIGN FROM PROPERTY LINES
E e) pRnrtre LoT ENTRANCES (sign must be in legol zone tor lighting ond typeJ
EIF) DISTANCE OF S]GN FROM RIGHTOF WAY
EIG) EXISTNG SIGNS LOCATION & AREA
E tf ) lS S|GN LTGHTED? YEs (must meet state eledrical code) (sign must be in legol zone for lighting and typeJ
Fee: $100* - 575.00 refundable at time of linal Inspectlon and photo of completed sign.
*An extra 555.00 charge will be applied to any powered or lighted sign.
Signature of A
Note: This document tlon
See Sign Ordinance 1027 at www.rexbuteorg for regulation information.
For Office Use Only:
Receipt Codes: (Regular) [ ] PZ= $25.00 [ ] PZSD= $75.00 (For Electrical Add) I I ELEC: $40.00
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City of Rexburg
35 Northlst East
Rexbutg, lD 83440
208€59€020
TATAL: S 165.0A
Transaction taken by: mary
Transaction detail for payment to City of Rexburg.Da!e;0512012013 - 11:45:10 AM
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4[ Cot, Frinte, tS ]"ffi_w,fTransaction oetaiiloi of Rexburg.D ate : 1 2t 1 at2o1 a 4.A4.A6
Billing lnformation
JUSTIN STEADMAN
, 84109
ij Transaction Notes: sign permit deposit refund for Beaumont Medical
Transaction taken by: marianna
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